JMIR Publications

ABSTRACT

In this national study of primary care practice-level factors associated with telehealth adoption in 2022, we found that practice-level resources and capabilities, including training and assisting patients with using telehealth and broadband expansion efforts, are associated with higher practice-level telehealth use. In contrast, electronic health record integration for video visits, practice ownership, and participation in alternative payment models which incentivize care quality were not associated with higher telehealth use. We also found that practices serving the uninsured reported greater use of telehealth for patient encounters, and FQHCs used more audio-only telehealth, suggesting that underserved populations had a higher need for telehealth options, that broadband expansion efforts remain important to US policy, and that cuts to audio-only reimbursement would disproportionately impact care for such patients.